剖腹术

METHODS: Surial of 22 patients who underwent pancreatectomy with R was compared with two control groups: 54 patients who underwent pancreatectomy without the need for R and 28 patients whose pre-operatie imaging suggested resectability but whose laparotomy indicated inoperability.

比较了22例进行联合血管切除重建的扩大胰腺切除患者与两个对照组的生存率：54例患者进行了没有血管重建的胰腺切除术、28例患者术前影像学显示可切除但在剖腹探查时发现不能手术切除。

Results:The main symptoms of malignant peritoneal mesothelioma were abdominal distension and abdominal dropsy in this patients.1 patient examined by abdominoscopy,3 patients examined by exploratory laparotomy,and all of them received final pathematology diagnosis...

结果：腹膜恶性间皮瘤以腹胀及腹水为主要表现。1例行腹腔镜检查，3例行剖腹探查术，最后经病理学确诊。3例行肿瘤细胞减灭术，其中1例联合腹腔静脉化疗，1例联合腹腔内化疗；2例未行任何治疗。

Important points for therapy include early diagnosis, early operation and correct handling of indications for exploratory celiotomy, which is the most reliable method for diagnosing duodenal injury.

治疗的成败关键在于能否早期诊断、早期手术和正确及时掌握剖腹探查的适应证，剖腹探查术是诊断十二指肠损伤最可靠的方法。

Result:2 cases were made definite diagnosis among celiotomy exploratory, 1 case was diagnosed next day after injury, Another 3 cases weren't made definite diagnosis until 5～25 days later. 3 cases were taken ureter or ureter to renal pelvis end-to-end one-stage anastomosis early,2 cases were taken urinary cyst resection and ureter end-to-end anastomosis three months later,1 case performed extravsation of urine drainage only.

结果：2例在早期剖腹探查中明确诊断，1例于伤后d2明确诊断，另3例在伤后5～25d才明确诊断。3例早期行一期输尿管或输尿管肾盂端端吻合术，2例于损伤3个月后行尿液性囊肿切除输尿管端端吻合术，1例行单纯尿液引流。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%（15/28），手术切除率为71.4%（20/28），单纯胆囊切除术6例（占21.4%），胆囊切除+总胆管探查4例（占14.3%），胆囊切除+区域淋巴结清扫2例（占7.1%），胆囊+肝楔状切除+区域淋巴结清扫6例（占21.4%），胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例（占3.6%），胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例（占3.6%），未切除率为28.6%，胃-空肠吻合术2例（占7.1%），胆囊造瘘1例（占3.6%），仅做剖腹探查术5例（占17.9%）。

The reoperation styles as follows: choledochocholedochostomy,Roux en y choledochojejunostomy,laparotomy of hematischesis,EST, choledocholithotomy. 19 cases were all cured by operations without severe neopathy.

再手术方式分别为胆总管端端吻合术、胆总管空肠Roux en y吻合术、剖腹止血术、EST、胆总管切开取石术。19例均经手术治愈，未出现严重并发症。

Portal vein pressure, size of spleen the collateral circulation of portal vein and the fluctuation of hematocyte counts were measured and recorded at the preconcerted time.

实验犬25只，随机分为A组(正常组，n=5)、B组(对照组，n=10)、C组(实验组，n=10)。A组仅予以剖腹探查，B组予以门静脉主干部分结扎建立模型，C组则通过门静脉主干部分结扎附加3周后脾静脉缩窄及其属支结扎的方法建立模型，建模后术前及术后每周动态观察两组动物血象的变化，B、C组在预定时间点(术后第5、第9周)分别随机选择5只动物开腹观测门静脉自由压、脾脏大小、门体侧支循环形成情况，并切取脾脏行组织病理学检查，此外，术前及术后预定时间点了解骨髓增生情况变化。

Objective To investigate the clinical value of laparoscopic surgery and laparotomy in the treatment of uterine fibroids.

目的：探讨腹腔镜下子宫肌瘤切除术与剖腹子宫肌瘤切除术的临床效果。

When amalignant tumor is present, a thorough abdominal exploration, totalabdominal hysterectomy, bilateral salpingo-oophorectomy,lymphadenectomy, omentectomy, and removal of all gross cancer arestandard therapy.

当恶性肿瘤确诊后，彻底的剖腹探查、完全的腹式子宫切除术、双侧双卵管卵巢切除术、淋巴结切除术、网膜切除术和所有的肉眼能看到的癌组织切除术是标准的治疗。

Results All17patients had reiteratively blood in stools.The longest medical history of these patients is of3years,the shortest is of2months.8cases showed symptoms of stomachaches;2cases showed symptoms of peritonitis.3cases resulted in positive tests in the radioactive scanning.Of the rest of the patients,1case showeda positive test in the selective arterial angiographies.Of the17patients,12recovered completely after the operation.And no recurrence was found in the following3～5years.5patients died of the recurrence of tumor and metastasis.

结果 17例均有反复次便血，病史最长3年，最短2月，8例伴有腹痛，2例伴有腹膜炎体征，3例伴有腹块。3例核素扫描检查均是阳性，4例选择性血管造影1例阳性。17例病员无1例术明确原发病，其中15例剖腹探查直接找到病因，2例术中结合内镜找到出血原因。17例中12例经手术治疗痊愈，随访3～5年无复发。5例死于肿瘤复发转移。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。